Detecting the mutational signature of homologous recombination deficiency in clinical samples

Nat Genet. 2019 May;51(5):912-919. doi: 10.1038/s41588-019-0390-2. Epub 2019 Apr 15.

Abstract

Mutations in BRCA1 and/or BRCA2 (BRCA1/2) are the most common indication of deficiency in the homologous recombination (HR) DNA repair pathway. However, recent genome-wide analyses have shown that the same pattern of mutations found in BRCA1/2-mutant tumors is also present in several other tumors. Here, we present a new computational tool called Signature Multivariate Analysis (SigMA), which can be used to accurately detect the mutational signature associated with HR deficiency from targeted gene panels. Whereas previous methods require whole-genome or whole-exome data, our method detects the HR-deficiency signature even from low mutation counts, by using a likelihood-based measure combined with machine-learning techniques. Cell lines that we identify as HR deficient show a significant response to poly (ADP-ribose) polymerase (PARP) inhibitors; patients with ovarian cancer whom we found to be HR deficient show a significantly longer overall survival with platinum regimens. By enabling panel-based identification of mutational signatures, our method substantially increases the number of patients that may be considered for treatments targeting HR deficiency.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / genetics
  • Breast Neoplasms / metabolism
  • Cell Line, Tumor
  • Computer Simulation
  • DNA, Neoplasm / genetics
  • Female
  • Genes, BRCA1
  • Genes, BRCA2
  • Homologous Recombination*
  • Humans
  • Likelihood Functions
  • Machine Learning
  • Multivariate Analysis
  • Mutation*
  • Neoplasms / drug therapy
  • Neoplasms / genetics*
  • Neoplasms / metabolism
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / genetics
  • Ovarian Neoplasms / metabolism
  • Platinum Compounds / therapeutic use
  • Poly(ADP-ribose) Polymerase Inhibitors / therapeutic use
  • Recombinational DNA Repair
  • Whole Genome Sequencing

Substances

  • DNA, Neoplasm
  • Platinum Compounds
  • Poly(ADP-ribose) Polymerase Inhibitors